Clinical Laboratory Improvement Amendments (CLIA) regulations require a facility to be appropriately certified for each test they do. CMS edits laboratory claims at the CLIA certificate level to make sure that Medicare and Medicaid only pay for laboratory tests in a facility with a valid, current CLIA certificate.
How to Reduce the Cost to Collect in Hospital Revenue Cycle Management
One of the key elements in hospital revenue cycle management success is getting a handle on cost to collect. Organizations that have realized their costs are too high have implemented many different approaches, ranging from new software to bringing on hospital billing services.
CMS Issues New G-Codes For Telehealth Home Health Services
Data on telecommunications technology use during a 30-day period of care at the patient level isn’t currently collected on the Home Health (HH) claim. While the provision of services provided via a telecommunications system must be in the patient’s plan of care, the Centers for Medicare & Medicaid Services (CMS) doesn’t routinely review plans of care to determine the extent these services are actually provided.
CY 2023 HCPCS Codes For Home Health Consolidated Billing
Effective, January 3, 2023, CMS will add the following codes to the home health consolidated billing non-routine supply code list:
Novavax COVID-19 Vaccine Booster Authorized
On October 19, the U.S. Food and Drug Administration (FDA) amended the Novavax COVID-19 Vaccine, Adjuvanted emergency use authorization to authorize the use of a first booster dose for patients 18 years and older:
